Organization
ENSO PSYCH GROUP, LLC
Active
Organization
ENSO PSYCH GROUP, LLC
Active
Other names
Miami Mental Health Associates, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SION DOMAN LCSW (MANAGER/MEMBER)
(850) 778-1642
Entity
Organization
Contact information
Practice address
1113 S MAGNOLIA DR, TALLAHASSEE, FL 32301-4659
(850) 778-1642
Mailing address
1113 S MAGNOLIA DR, TALLAHASSEE, FL 32301-4659
(850) 778-1642
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001964700
—
FL
Enumeration date
10/04/2008
Last updated
06/11/2019
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